Individual
BETH A BUSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
170 MOUNT PLEASANT RD STE 201, NEWTOWN, CT 06470-1408
(203) 792-4151
(203) 792-4155
Mailing address
170 MOUNT PLEASANT RD, STE 201, NEWTOWN, CT 06470-1408
(203) 792-4151
(203) 792-4155
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
041257
CT
207N00000X
Dermatology Physician
198757-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001412577
—
CT
Enumeration date
06/14/2005
Last updated
05/23/2019
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